Skip to main content

Advertisement

SpringerLink
Log in

MRI of soft tissue abnormalities: a primary cause of sickle cell crisis

  • Articles
  • Published:
Skeletal Radiology Aims and scope Submit manuscript

Abstract

The early manifestations of sickle cell crisis in soft tissues are important to recognize, though rarely manifest on radiographs and difficult to evaluate on computed tomography and bone scans. Documentation is critical, however, if appropriate judgments as to emergency treatment versus conservative measures are to be made. Seventeen adults seen in the emergency room or hospitalized in presumed sickle cells crisis underwent magnetic resonance imaging within 24–72 h of presentation. Results indicate that magnetic resonance imaging is a sensitive modality for documenting early soft tissue pathology which may be the predominant or sole cause of sickle cell crisis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Ballas SK (1990) Treatment of pain in adults with sickle cell disease. Am J Hematol 34:49

    Google Scholar 

  2. Casey DF, Cathcart ES (1970) Hemarthrosis and sickle cell trait. Arthritis Rheum 13:882

    Google Scholar 

  3. DeSmet A, Fisher DR, Heiner JP, Keene JS (1990) Magnetic resonance imaging of muscle tears. Skeletal Radiol 19:283

    Google Scholar 

  4. Dooms GC, Uske A, Berthiaume Y (1986) MR image of extracranial hematoma: comparison with CT. Eur J Radiol 6:30

    Google Scholar 

  5. Dorwart BB, Gabuzda TG (1985) Symmetric myositis and fasciitis: a complication of sickle cell anemia during vasocclusion. J Rheumatol 12:590

    Google Scholar 

  6. Fabry ME, Benjamin L, Lawrence C, Nagel RL (1984) An objective sign in painful crisis in sickle cell anemia: the concomitant reduction of high density red cells. Blood 64:559

    Google Scholar 

  7. Gomori JM, Grossman RI, Goldberg HI, Zimmerman RA, Bilaniuk LT (1985) Intracranial hematomas: imaging by high-field MR. Radiology 157:87

    Google Scholar 

  8. Greenfield GB (1970) Bone changes in chronic adult Gauchers disease. Am J Roentgenol 110:800

    Google Scholar 

  9. Horey G, Kornreich L, Hadar H, Katz K (1991) Hemorrhage associated with “bone crisis” in Gaucher's disease identified by magnetic resonance imaging. Skeletal Radiol 20:479

    Google Scholar 

  10. Huber DJ, Sumers E, Klein M (1987) Soft tissue pseudotumor following intramuscular injection of “DPT” a pitfall in MRI. Skeletal Radiol 16:469

    Google Scholar 

  11. Lamminsen AE, Hekali PE, Tiula E, Suramo I, Ossi A (1989) Acute rhabdomyolyses: evaluation with MRI compared with computed tomography and ultrasonography. Br J Radiol 62:326

    Google Scholar 

  12. Lanir A, Hadar H, Cohen I, Tal Y, Benmair J, Schreiber R, Clouse ME (1986) Gauchers disease: assessment with MR imaging. Radiology 161:239

    Google Scholar 

  13. Mankad VN, Williams JP, Harpen MD, Manci E, Longenecker G, Moore RB, Shah A, Yang YM, Brogdon BG (1990) Magnetic resonance imaging of bone marrow in sickle cell disease: clinical, hematologic, and pathologic correlations. Blood 75:274

    Google Scholar 

  14. Mankad VN, Yang YM, Williams JP, Brogdon BG (1988) Magnetic resonance imaging of bone marrow in sickle cell patients. Am J Pediatr Hematol Oncol 10:344

    Google Scholar 

  15. Pakter RL, Fishman EK, Zerhouni EA (1987) Calf hematoma CT magnetic resonance findings. Skeletal Radiol 16:393

    Google Scholar 

  16. Rao VM, Fishman M, Mitchell DG, Steiner RM, Ballas SK, Axel L, Dalinka MK, Gefter W, Kressel HY (1986) Painful sickle cell crisis: bone marrow patterns observed with MR imaging. Radiology 161:211

    Google Scholar 

  17. Rao VM, Mitchell DG, Rifkin MD, Steiner RM, Burk DL, Levy D, Ballas SK (1989) Marrow infarction in sickle cell anemia: correlation with marrow type and distribution by MRI. Magn Reson Imaging 7:39

    Google Scholar 

  18. Resendes M, Helms CA, Fritz RC, Genant H (1992) MR appearance of intramuscular injection. Am J Roentgenol 158:1293

    Google Scholar 

  19. Rubin JI, Gomori JM, Grossman RI, Gefter WB, Kressel HY (1987) High-field MR imaging of extracranial hematomas. AJR 148:813

    Google Scholar 

  20. Shumacher HR, Andrews R, McLaughlin G (1973) Arthropathy in sickle-cell disease. Ann Intern Med 78:203

    Google Scholar 

  21. Swensen JS, Keller PL, Berquist TH, McLeod RA (1985) Magnetic resonance of hemorrhage. Am J Roentgenol 145:921

    Google Scholar 

  22. Unger EC, Glazer HS, Lee JKT, Ling D (1986) MRI of extracranial hematomas. Am J Roentgenol 146:403

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, Columbia-Presbyterian Medical Center, New York, New York, USA

    Frieda Feldman M.D., Alicia Zwass M.D., Ronald B. Staron M.D. & Nogah Haramati M.D.

Authors
  1. Frieda Feldman M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Alicia Zwass M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ronald B. Staron M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Nogah Haramati M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Feldman, F., Zwass, A., Staron, R.B. et al. MRI of soft tissue abnormalities: a primary cause of sickle cell crisis. Skeletal Radiol. 22, 501–506 (1993). https://doi.org/10.1007/BF00209096

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00209096

Key words

Search

Navigation